| Livella Care, Llc | |
|
4 Brushy Plain Rd Suite 519 Branford CT 06405-6000 | |
| (203) 214-4527 | |
| Not Available |
| Full Name | Livella Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4 Brushy Plain Rd, Branford, Connecticut |
| Authorized Official Name and Position | Antonio D'aria (PHYSICIAN, OWNER) |
| Authorized Official Contact | 2032144527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livella Care, Llc 4 Brushy Plain Rd Suite 519 Branford CT 06405-6000 Ph: (203) 214-4527 | Livella Care, Llc 4 Brushy Plain Rd Suite 519 Branford CT 06405-6000 Ph: (203) 214-4527 |
| NPI Number | 1093110462 |
|---|---|
| Provider Enumeration Date | 10/28/2014 |
| Last Update Date | 01/05/2015 |
| Medicare PECOS PAC ID | 9739405416 |
|---|---|
| Medicare Enrollment ID | O20150225000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093110462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 045151 (Connecticut) | Primary |
| Provider Name | Antonio Daria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447443676 PECOS PAC ID: 5395831580 Enrollment ID: I20071018000841 |
| Provider Name | Monica D'aria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437538683 PECOS PAC ID: 4880976778 Enrollment ID: I20170130001750 |
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